Active NPI
Rose'S Home Medical Specialty'S
- Durable Medical Equipment & Medical Supplies
- Beloit, WI
National Provider Identifier
1689822868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ROSE'S HOME MEDICAL SPECIALTY'S
- Practice address
- 2762 Kadlec Dr Apt 6
Beloit, WI 53511-6625 - Phone
- (608) 207-3563
- Fax
- (608) 313-9436
- NPI assigned
- Aug 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rose M Olszta
- Title
- Owner
- Phone
- (608) 207-3563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2762 Kadlec Dr Apt 6
Beloit, WI 53511-6625
Mailing address
2762 Kadlec Dr Apt 6
Beloit, WI 53511-6625
Phone (608) 207-3563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41757000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220140800000",
"number": "1689822868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2762 KADLEC DR APT 6",
"city": "BELOIT",
"state": "WI",
"postal_code": "535116625",
"telephone_number": "608-207-3563",
"fax_number": "608-313-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2762 KADLEC DR APT 6",
"city": "BELOIT",
"state": "WI",
"postal_code": "535116625",
"telephone_number": "608-207-3563",
"fax_number": "608-313-9436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE'S HOME MEDICAL SPECIALTY'S",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-31",
"last_updated": "2008-08-31",
"status": "A",
"authorized_official_last_name": "OLSZTA",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-207-3563",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41757000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.